The Simple Technique of Sternal Closure Using An Absorbable Mesh Plate
Hirotaka Watanuki1, Yasuhiro Futamura2, Masato Tochii3
1Department of Cardiac Surgery, Aichi Medical University Hospital Yazakokarimata, Nagakute, Aichi, Japan. hwatanuk@aichi-med-u.ac.jp.
The Heart Surgery Forum
|March 3, 2022
Summary
This study compared mesh plates versus wire cerclage for sternal closure after cardiovascular surgery. Mesh plates significantly reduced sternal displacement, offering a stable and reliable closure method.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Biomaterials Engineering
Background:
- Optimal sternal closure technique remains debated.
- Various materials and technologies for sternal fixation have been explored.
Purpose of the Study:
- To evaluate the sternal stability of a mesh-type plate technique compared to wire cerclage for primary sternal closure.
Main Methods:
- 70 patients undergoing cardiovascular surgery were randomized into mesh plate (N=33) or wire cerclage (N=37) groups.
- Mesh plates were used in combination with wiring.
- Sternal displacement was measured via CT scan at discharge.
Main Results:
- Postoperative pain and analgesic use were similar between groups on day 7.
- Significantly less sternal displacement in both anterior-posterior and lateral directions was observed in the mesh plate group.
Conclusions:
- Mesh plate sternal closure is a simple, safe, and potentially reliable technique.
- This method effectively minimizes anterior-posterior sternal displacement.
